Black, Melissa Margo
Black, Melissa Margo is an individual health care provider with primary practice located at 3475 Belle Chase Way , Lansing MI 48911-4252. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Black, Melissa Margo can be contacted via phone (517) 882-3732.Contact Information
Primary practice address
3475 Belle Chase Way
Lansing MI 48911-4252
Phone: (517) 882-3732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 4704292407 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704292407 | Michigan |
Profile Details
| NPI number | 1013538834 |
|---|---|
| LBN Legal business name | Black, Melissa Margo |
| Credentials | MSN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2020 |
| Last updated | Feb 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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